# SANDRA ELIZABETH CARLO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619030665
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001010 | CT | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 304198 | MHN PROVIDER ID | CT |
| 01 | — | 410001010CT06 | ANTHEM BCBS PROVIDER ID | CT |
| 01 | — | 62-73452 | UNITED HEALTHCARE ID | CT |
| 01 | — | 7251549 | AETNA PROVIDER ID | CT |
| 01 | — | P3179321 | OXFORD HEALTH PROVIDER ID | CT |